100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)

The 100-Day Mission, coordinated by the Coalition for Epidemic Preparedness Innovations (CEPI) and endorsed by significant international stakeholders, aims to shorten the timeframe for developing and implementing vaccines to 100 days after the report of a new pathogen. This ambitious goal is outline...

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Main Authors: Yodira Guadalupe Hernandez-Ruiz, Erika Zoe Lopatynsky-Reyes, Rolando Ulloa-Gutierrez, María L. Avila-Agüero, Alfonso J. Rodriguez-Morales, Jessabelle E. Basa, Frederic W. Nikiema, Enrique Chacon-Cruz
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/13/7/773
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author Yodira Guadalupe Hernandez-Ruiz
Erika Zoe Lopatynsky-Reyes
Rolando Ulloa-Gutierrez
María L. Avila-Agüero
Alfonso J. Rodriguez-Morales
Jessabelle E. Basa
Frederic W. Nikiema
Enrique Chacon-Cruz
author_facet Yodira Guadalupe Hernandez-Ruiz
Erika Zoe Lopatynsky-Reyes
Rolando Ulloa-Gutierrez
María L. Avila-Agüero
Alfonso J. Rodriguez-Morales
Jessabelle E. Basa
Frederic W. Nikiema
Enrique Chacon-Cruz
author_sort Yodira Guadalupe Hernandez-Ruiz
collection DOAJ
description The 100-Day Mission, coordinated by the Coalition for Epidemic Preparedness Innovations (CEPI) and endorsed by significant international stakeholders, aims to shorten the timeframe for developing and implementing vaccines to 100 days after the report of a new pathogen. This ambitious goal is outlined as an essential first step in improving pandemic preparedness worldwide. This review highlights the mission’s implementation potential and challenges by examining it through the lens of low- and middle-income countries (LMICs), which often face barriers to equitable vaccine access. This article explores the scientific, economic, political, and social aspects that could influence the mission’s success, relying on lessons learned from previous pandemics, such as the Spanish flu, H1N1, and COVID-19. We also examined important cornerstones like prototype vaccine libraries, accelerated clinical trial preparedness, early biomarkers identification, scalable manufacturing capabilities, and rapid pathogen characterization. The review also explores the World Health Organization (WHO) Pandemic Agreement and the significance of Phase 4 surveillance in ensuring vaccine safety. We additionally evaluate societal issues that disproportionately impact LMICs, like vaccine reluctance, health literacy gaps, and digital access limitations. Without intentional attempts to incorporate under-resourced regions into global preparedness frameworks, we argue that the 100-Day Mission carries the risk of exacerbating already-existing disparities. Ultimately, our analysis emphasizes that success will not only rely on a scientific innovation but also on sustained international collaboration, transparent governance, and equitable funding that prioritizes inclusion from the beginning.
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spelling doaj-art-694a7c25c82b49e08d8207a8a75f9cc62025-07-25T13:38:30ZengMDPI AGVaccines2076-393X2025-07-0113777310.3390/vaccines13070773100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)Yodira Guadalupe Hernandez-Ruiz0Erika Zoe Lopatynsky-Reyes1Rolando Ulloa-Gutierrez2María L. Avila-Agüero3Alfonso J. Rodriguez-Morales4Jessabelle E. Basa5Frederic W. Nikiema6Enrique Chacon-Cruz7Escuela de Medicina, Universidad de Monterrey, San Pedro Garza García, Nuevo León 66238, MexicoThink Vaccines LLC., Houston, TX 77005, USAServicio de Aislamiento Pediatría, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, San José 1654-1000, Costa RicaServicio de Infectología, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, San José 10905, Costa RicaFaculty of Health Sciences, Universidad Científica del Sur, Lima 15307, PeruResearch Institute for Tropical Medicine, Muntinlupa City 2428, Metro Manila, PhilippinesInstitut de Recherche en Sciences de la Santé, Direction Régionale de l’Ouest, 399 Avenue de la Liberté, Bobo-Dioulasso 01, Hauts-Bassins 0P1 BP 545, Burkina FasoThink Vaccines LLC., Houston, TX 77005, USAThe 100-Day Mission, coordinated by the Coalition for Epidemic Preparedness Innovations (CEPI) and endorsed by significant international stakeholders, aims to shorten the timeframe for developing and implementing vaccines to 100 days after the report of a new pathogen. This ambitious goal is outlined as an essential first step in improving pandemic preparedness worldwide. This review highlights the mission’s implementation potential and challenges by examining it through the lens of low- and middle-income countries (LMICs), which often face barriers to equitable vaccine access. This article explores the scientific, economic, political, and social aspects that could influence the mission’s success, relying on lessons learned from previous pandemics, such as the Spanish flu, H1N1, and COVID-19. We also examined important cornerstones like prototype vaccine libraries, accelerated clinical trial preparedness, early biomarkers identification, scalable manufacturing capabilities, and rapid pathogen characterization. The review also explores the World Health Organization (WHO) Pandemic Agreement and the significance of Phase 4 surveillance in ensuring vaccine safety. We additionally evaluate societal issues that disproportionately impact LMICs, like vaccine reluctance, health literacy gaps, and digital access limitations. Without intentional attempts to incorporate under-resourced regions into global preparedness frameworks, we argue that the 100-Day Mission carries the risk of exacerbating already-existing disparities. Ultimately, our analysis emphasizes that success will not only rely on a scientific innovation but also on sustained international collaboration, transparent governance, and equitable funding that prioritizes inclusion from the beginning.https://www.mdpi.com/2076-393X/13/7/773vaccinespandemic100-day planCEPI
spellingShingle Yodira Guadalupe Hernandez-Ruiz
Erika Zoe Lopatynsky-Reyes
Rolando Ulloa-Gutierrez
María L. Avila-Agüero
Alfonso J. Rodriguez-Morales
Jessabelle E. Basa
Frederic W. Nikiema
Enrique Chacon-Cruz
100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
Vaccines
vaccines
pandemic
100-day plan
CEPI
title 100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
title_full 100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
title_fullStr 100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
title_full_unstemmed 100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
title_short 100-Day Mission for Future Pandemic Vaccines, Viewed Through the Lens of Low- and Middle-Income Countries (LMICs)
title_sort 100 day mission for future pandemic vaccines viewed through the lens of low and middle income countries lmics
topic vaccines
pandemic
100-day plan
CEPI
url https://www.mdpi.com/2076-393X/13/7/773
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